501. The Varied Ultrasonic Character of Gallbladder Tumor
- Author
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Joseph F. Simeone, F. Graham Sommer, Kenneth J. W. Taylor, Arthur T. Rosenfield, Sidney Ulreich, Michael Crade, and Gregory N. Viscomi
- Subjects
medicine.medical_specialty ,business.industry ,Bile duct ,Gallbladder ,Ultrasound ,Lumen (anatomy) ,Gastric outlet obstruction ,General Medicine ,medicine.disease ,medicine.anatomical_structure ,Cholecystitis ,medicine ,Adenocarcinoma ,Radiology ,Gallbladder Neoplasm ,business - Abstract
TUMOR of the gallbladder is rarely diagnosed preoperatively, 1 since clinical presentation and roentgenographic findings are generally indistinguishable from those of cholecystitis. Indeed, even at the time of surgery, the diagnosis is often missed because of surrounding inflammation. 2 The roentgenographic demonstration of a calcified wall or an irregular mural lesion on an oral cholecystogram should raise clinical suspicion of a tumor. 3 As illustrated by the case reports, ultrasound has also proved useful in preoperative identification of patients with gallbladder neoplasm. Report of Cases Case 1.— A 70-year-old jaundiced woman with vomiting and a 4.5-kg weight loss was found to have a palpable mass in the right upper quadrant and gastric outlet obstruction on plain abdominal roentgenograms. Ultrasound demonstrated a complex mass in the gallbladder fossa, without defining the lumen. Bile duct dilation was also noted (Fig 1). An adenocarcinoma obliterating the gallbladder and causing biliary obstruction was discovered
- Published
- 1979
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